An Unusual Presentation of New Onset Sarcoidosis

Abstract

This paper summarizes the case of a patient admitted to the hospital for nausea, light-headedness, and vomiting in the setting of persistent leukocytosis. Despite being adequately treated for an infection, the patient’s leukocytosis did not resolve. Workup yielded a diagnosis of sarcoidosis. This is an unusual presentation of sarcoidosis since the patient did not present with typical respiratory symptoms. The presenting dyspnea on exertion is thought to be due to his smoking history. Treatment is promptly initiated with steroids. It is of utmost importance to initiate steroid therapy to prevent the progression of the disease. Sequelae may include glaucoma, small-fiber neuropathy, and pain syndromes.